CAJ | 학술논문

目的：观察补肾活血祛痰方治疗肥胖型与非肥胖型多囊卵巢综合征（Polycystic ovary syn-drome，PCOS）的临床疗效。方法：依据 PCOS标准，收集肥胖型PCOS患者与非肥胖型PCOS患者共52例，采用补肾活血祛痰方进行治疗。观察患者治疗前后月经周期、排卵、肥胖、多毛、黑棘皮症、痤疮等临床症状及血睾酮（Testosterone,T）、胰岛素(Insulin,INS)、黄体生成激素（Luteoinizing hormone,LH）、卵泡刺激素（Fol-licle stimulating hormone,FSH）等变化情况。结果：补肾活血祛痰方既能改善患者肥胖、多毛、黑棘皮症、痤疮等临床症状（P＜0.05），又能降低患者的血T、INS和LH水平（P＜0.05）。结论：补肾活血祛痰方可降低PCOS患者的血T水平，改善患者胰岛素抵抗状态，对PCOS有较好的治疗效果。
목적：관찰보신활혈거담방치료비반형여비비반형다낭란소종합정（Polycystic ovary syn-drome，PCOS）적림상료효。방법：의거 PCOS표준，수집비반형PCOS환자여비비반형PCOS환자공52례，채용보신활혈거담방진행치료。관찰환자치료전후월경주기、배란、비반、다모、흑극피증、좌창등림상증상급혈고동（Testosterone,T）、이도소(Insulin,INS)、황체생성격소（Luteoinizing hormone,LH）、란포자격소（Fol-licle stimulating hormone,FSH）등변화정황。결과：보신활혈거담방기능개선환자비반、다모、흑극피증、좌창등림상증상（P＜0.05），우능강저환자적혈T、INS화LH수평（P＜0.05）。결론：보신활혈거담방가강저PCOS환자적혈T수평，개선환자이도소저항상태，대PCOS유교호적치료효과。
Objective:To observe clinical effects of kidney-invigorating blood-activating phlegm-eliminating prescription in treating polycystic ovary syndrome (PCOS) of obesity type and non-obesity type. Methods:According to the standard of PCOS, 52 cases were collected and treated with kidney-invigorating blood-activating phlegm-eliminating prescription. Changes of testosterone (T), insulin (INS), luteinizing hormone (LH), follicle stimulating hormone (FSH) and clinical symptoms such as menstrual cycle, ovulation, obesity, hairiness, acanthosis nigricans, acne and others of both groups were observed before and after treating. Results: Kidney-invigorating blood-activating phlegm-eliminating prescription could not only improve clinical symptoms including obesity, hairiness, acanthosis nigricans and acnes of the patients, but also decrease the levels of blood T, INS and LH (P<0.05). Conclusion:Kidney-invigorating blood-activating phlegm-eliminating prescription could decrease the level of blood T, improve insulin resistance of the patients and it is effective in treating PCOS.